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General NPI Number Information
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NPI Number | 1891066189
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Entity Type | Individual
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Provider Name | ERICK LEFFLER D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 201 E PALM DR STE E
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City | SYRACUSE
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State | IN
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Zip | 46567
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Country | US
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Telephone | 574-457-7472
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Fax | 574-457-7103
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Provider Business Mailing Address
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Address Line | PO BOX 91
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City | SYRACUSE
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State | IN
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Zip | 46567-0091
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Country | US
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Telephone | 574-457-7472
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Fax | 574-457-7103
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002619A
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License Number State | IN
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